Máxima Medical Centre, Department of Obstetrics & Gynaecology, 5500 MB Veldhoven, The Netherlands.
Maastricht University Medical Centre, Department of Obstetrics & Gynaecology, GROW School of Oncology and Developmental Biology, P. Debyelaan 25, 6202 AZ Maastricht, The Netherlands.
Nutrients. 2021 Jul 13;13(7):2394. doi: 10.3390/nu13072394.
With an growing number of people on a strict plant-based diet, its potential effect on pregnancy and lactation becomes increasingly important. It is, however, unclear how obstetric caregivers currently handle and think about a strict plant-based diet in pregnancy. The aim of the study was therefore to evaluate the self-reported knowledge and advice given by Dutch obstetric caregivers and dietitians when treating pregnant women on a strict plant-based diet. A cross-sectional study was performed by sending an online survey to Dutch midwife practices, obstetricians, and dietitian practices. Descriptive statistics are reported. A total of 121 midwives, 179 obstetricians, and 111 dietitians participated in this study. The majority of midwives (80.2%) and obstetricians (93.9%) considered a strict plant-based diet to be a significant risk factor for nutrient deficiency during pregnancy. Maternal dietary preferences, including a potential strict plant-based diet, were discussed at the first prenatal appointment by 59.5% of midwives and 24.1% of obstetricians. A self-reported lack of knowledge concerning the strict plant-based diet was mentioned by 66.1% of midwives and 75.4% of obstetricians. Obstetric caregivers mostly considered the identification of this dietary habit and subsequent referral to a dietitian or a reliable website as optimal care for pregnant women on the strict plant-based diet. However, only 38.7% of dietitians indicated to have sufficient knowledge to counsel these women. Although obstetric caregivers thought that a strict plant-based diet in pregnancy may lead to increased risks of nutritional deficiencies, the majority report to have insufficient knowledge to provide adequate advice. Only a minority referred these women to dietitians, of whom a minority indicated to have adequate knowledge on this specific diet. These results suggest that current care is suboptimal for an increasing number of pregnant women. Women on a strict plant-based diet could benefit from increased knowledge about this topic among obstetric caregivers and dietitians, as well as from clear guidelines regarding this diet during pregnancy.
随着越来越多的人严格遵循植物性饮食，其对妊娠和哺乳的潜在影响变得越来越重要。然而，目前尚不清楚产科护理人员如何处理和看待妊娠期间的严格植物性饮食。因此，本研究旨在评估荷兰产科护理人员和营养师在治疗严格植物性饮食孕妇时的自我报告知识和建议。通过向荷兰助产士实践、产科医生和营养师实践发送在线调查来进行横断面研究。报告描述性统计数据。共有 121 名助产士、179 名产科医生和 111 名营养师参加了这项研究。大多数助产士（80.2%）和产科医生（93.9%）认为严格的植物性饮食是妊娠期间营养缺乏的一个重要危险因素。59.5%的助产士和 24.1%的产科医生在第一次产前预约时讨论了产妇的饮食偏好，包括潜在的严格植物性饮食。66.1%的助产士和 75.4%的产科医生报告自我报告缺乏严格植物性饮食的知识。产科护理人员大多认为识别这种饮食习惯并随后转介给营养师或可靠的网站是对严格植物性饮食孕妇的最佳护理。然而，只有 38.7%的营养师表示他们有足够的知识来为这些女性提供咨询。尽管产科护理人员认为妊娠期间严格的植物性饮食可能会增加营养缺乏的风险，但大多数人报告说缺乏足够的知识来提供适当的建议。只有少数人将这些女性转介给营养师，其中少数人表示对这种特殊饮食有足够的了解。这些结果表明，目前的护理对越来越多的孕妇来说并不理想。严格遵循植物性饮食的女性可能受益于产科护理人员和营养师对这一主题的更多了解，以及妊娠期间关于这种饮食的明确指导方针。
